Novel BET protein proteolysis-targeting chimera exerts superior lethal activity than bromodomain inhibitor (BETi) against post-myeloproliferative neoplasm secondary (s) AML cells.

Novel BET protein proteolysis-targeting chimera exerts superior lethal activity than bromodomain inhibitor (BETi) against post-myeloproliferative neoplasm secondary (s) AML cells.
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DOI:
10.1038/leu.2016.393
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发表时间:
2017-09
期刊:
影响因子:
11.4
通讯作者:
Bhalla KN
Bhalla KN
中科院分区:
医学1区
文献类型:
--
作者:
Saenz DT;Fiskus W;Qian Y;Manshouri T;Rajapakshe K;Raina K;Coleman KG;Crew AP;Shen A;Mill CP;Sun B;Qiu P;Kadia TM;Pemmaraju N;DiNardo C;Kim MS;Nowak AJ;Coarfa C;Crews CM;Verstovsek S;Bhalla KN

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protac(涉及蛋白水解的嵌合体)ARV-825招募了溴结构域和外影响(BET)蛋白质到E3泛素连接酶的小酶Cereblon,从而导致BET蛋白降解,而包括BET蛋白(BETI)OTX01154。 ,用等摩尔浓度的ARV-825治疗导致BRD4的持续且持续的耗竭(> 90%),并在培养的和患者衍生的(PD)CD34+ MPN SAML细胞,同时占CD34+正常造血祖细胞的相对较高的RNA-Seq,反向相位蛋白质阵列和质量细胞仪的分析表明,ARV-825在MRNA和蛋白质中造成了更大的扰动与otx015相比,SAML细胞中的otx015比ARV-825的表达与OTX015相比与表达荧光素酶的HEL92.1.7细胞的小鼠与ARV-825共同治疗。 PD-CD34+ SAML细胞,尤其是ARV-825在体外产生的鲁u属尼替尼或ruxolitinib耐药的SAML细胞中诱导高水平的凋亡。 SAML。
The PROTAC (proteolysis-targeting chimera) ARV-825 recruits bromodomain and extraterminal (BET) proteins to the E3 ubiquitin ligase cereblon, leading to degradation of BET proteins, including BRD4. Whereas the BET-protein inhibitor (BETi) OTX015 caused accumulation of BRD4, treatment with equimolar concentrations of ARV-825 caused sustained and profound depletion (>90%) of BRD4 and induced significantly more apoptosis in cultured and patient-derived (PD) CD34+ post-MPN sAML cells, while relatively sparing the CD34+ normal hematopoietic progenitor cells. RNA-Seq, Reversed Phase Protein Array and mass cytometry ‘CyTOF’ analyses demonstrated that ARV-825 caused greater perturbations in mRNA and protein expressions than OTX015 in sAML cells. Specifically, compared to OTX015, ARV-825 treatment caused more robust and sustained depletion of c-Myc, CDK4/6, JAK2, pSTAT3/5, PIM1 and Bcl-xL, while increasing the levels of p21 and p27. Compared to OTX015, PROTAC ARV-771 treatment caused greater reduction in leukemia burden and further improved survival of NSG mice engrafted with luciferase-expressing HEL92.1.7 cells. Co-treatment with ARV-825 and JAK inhibitor ruxolitinib was synergistically lethal against the established and PD-CD34+ sAML cells. Notably, ARV-825 induced high levels of apoptosis in the in vitro generated ruxolitinib-persister or ruxolitinib-resistant sAML cells. These findings strongly support the in vivo testing of the BRD4-PROTAC based combinations against post-MPN sAML.
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